<!DOCTYPE html>
<html lang="en">

<head>
    <meta charset="UTF-8">
    <meta name="viewport" content="width=device-width, initial-scale=1.0">
    <title>费用清单</title>
    <link rel="stylesheet" href="../css/font-awesome.min.css">
    <link rel="stylesheet" href="../css/bootstrap-4.2.1/dist/css/bootstrap.css">
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</head>

<body class="container-fluid table_body">
    <br><br>
    <table class="table bg-white table-bordered text-right d_table">
        <thead class="text-center">
            <tr>
                <td colspan="10" class="tg1">费&nbsp;&nbsp;&nbsp;用&nbsp;&nbsp;&nbsp;清&nbsp;&nbsp;&nbsp;单</td>
            </tr>
        </thead>
        <tbody>
            <tr>
                <td class="tg1 w-10">费&nbsp;用&nbsp;清&nbsp;单&nbsp;编&nbsp;号&nbsp;:</td>
                <td colspan="4" class="w-40"></td>
                <td class="tg1 w-10">收&nbsp;费&nbsp;组&nbsp;织&nbsp;:</td>
                <td colspan="4" class="w-40"></td>
            </tr>
            <tr>
                <td class="tg1 w-10">区&nbsp;域&nbsp;:</td>
                <td colspan="4" class="w-40"></td>
                <td class="tg1 w-10">物&nbsp;业&nbsp;管&nbsp;理&nbsp;处&nbsp;:</td>
                <td colspan="4" class="w-40"></td>
            </tr>
            <tr>
                <td class="tg1 w-10">楼&nbsp;栋&nbsp;:</td>
                <td class="w-10"></td>
                <td class="tg1 w-10">楼&nbsp;层&nbsp;:</td>
                <td class="w-10"></td>
                <td class="tg1 w-10">套&nbsp;房&nbsp;:</td>
                <td class="w-10"></td>
                <td class="tg1 w-10">房&nbsp;间&nbsp;:</td>
                <td class="w-10"></td>
                <td class="tg1 w-10">铺&nbsp;位:</td>
                <td class="w-10"></td>
            </tr>
            <tr>
                <td class="tg1 w-10">合&nbsp;同&nbsp;编&nbsp;号&nbsp;:</td>
                <td colspan="4"></td>
                <td class="tg1">合&nbsp;同&nbsp;名&nbsp;称&nbsp;:</td>
                <td colspan="4"></td>
            </tr>
            <tr>
                <td class="tg1">合&nbsp;同&nbsp;类&nbsp;型&nbsp;:</td>
                <td colspan="4"></td>
                <td class="tg1">客&nbsp;户&nbsp;:</td>
                <td colspan="4"></td>
            </tr>
            <tr>
                <td class="tg1">单&nbsp;价&nbsp;:</td>
                <td></td>
                <td class="tg1">数&nbsp;量&nbsp;:</td>
                <td></td>
                <td class="tg1">税&nbsp;率&nbsp;:</td>
                <td></td>
                <td class="tg1" colspan="2">应&nbsp;&nbsp;收&nbsp;&nbsp;金&nbsp;&nbsp;额&nbsp;&nbsp;&nbsp;（&nbsp;&nbsp;含&nbsp;&nbsp;税&nbsp;&nbsp;）&nbsp;&nbsp;:</td>
                <td colspan="2"></td>
            </tr>
            <tr>
                <td class="tg1">税&nbsp;费&nbsp;金&nbsp;额&nbsp;：</td>
                <td colspan="2"></td>
                <td  class="tg1">本&nbsp;金&nbsp;金&nbsp;额&nbsp;：</td>
                <td colspan="2"></td>
                <td class="tg1" colspan="2">已&nbsp;&nbsp;收&nbsp;&nbsp;款&nbsp;&nbsp;金&nbsp;&nbsp;额&nbsp;&nbsp;：</td>
                <td colspan="2"></td>
            </tr>
            <tr >
                <td class="tg1 pt-4" rowspan="2">收&nbsp;费&nbsp;项&nbsp;目&nbsp;：</td>
                <td rowspan="2"colspan="2"></td>
                <td class="tg1 pt-4" rowspan="2">收&nbsp;费&nbsp;标&nbsp;准&nbsp;：</td>
                <td class="tg1">周&nbsp;期&nbsp;类&nbsp;：</td>
                <td colspan="5"></td>
            </tr>
            <tr>
                <td class="tg1">临&nbsp;时&nbsp;类&nbsp;：</td>
                <td colspan="5"></td>
            </tr>
            <tr>
                <td class="tg1">费&nbsp;用&nbsp;所&nbsp;属&nbsp;月&nbsp;：</td>
                <td colspan="2"></td>
                <td class="tg1">业&nbsp;务&nbsp;应&nbsp;收&nbsp;月&nbsp;：</td>
                <td colspan="2"></td>
                <td class="tg1">费&nbsp;用&nbsp;应&nbsp;收&nbsp;日&nbsp;期&nbsp;：</td>
                <td colspan="3"></td>
            </tr>
            <tr>
                <td  class="tg1">费&nbsp;用&nbsp;起&nbsp;始&nbsp;日&nbsp;:</td>
                <td colspan="2"></td>
                <td  class="tg1">费&nbsp;用&nbsp;截&nbsp;至&nbsp;日&nbsp;:</td>
                <td colspan="2"></td>
                <td class="tg1">是&nbsp;否&nbsp;大&nbsp;额&nbsp;:</td>
                <td></td>
                <td class="tg1">扣&nbsp;款&nbsp;状&nbsp;态&nbsp;:</td>
                <td></td>
            </tr>
            <tr>
                <td class="tg1">创&nbsp;建&nbsp;人&nbsp;:</td>
                <td></td>
                <td class="tg1">创&nbsp;建&nbsp;时&nbsp;间&nbsp;:</td>
                <td colspan="2"></td>
                <td class="tg1">收&nbsp;讫&nbsp;:</td>
                <td></td>
                <td class="tg1">生&nbsp;成&nbsp;应&nbsp;收&nbsp;:</td>
                <td colspan="2"></td>
            </tr>
            <tr>
                <td  class="tg1" rowspan="3">备&nbsp;注&nbsp;：</td>
                <td colspan="9" rowspan="3"></td>
            </tr>   
            <tr> </tr><tr></tr>
            <tr>
                <td colspan="5"><button class="bg-dary">缴&nbsp;费</button></td>
                <td colspan="5"><button class="bg-dary left">打&nbsp;印</button></td>
            </tr>   
        </tbody> 
    </table>
</body>

</html>